Approach to the Patient with Facial Pain
Acute glaucoma is associated with orbital and adjacent facial pain but the diagnosis is usually obvious because of corneal clouding and other eye changes. Subacute glaucoma can be more subtle…
Approach to the Patient with Seizures
FIGURE 6.1 MRI showing left mesial temporal sclerosis. MRI, magnetic resonance imaging. CLINICAL MANIFESTATIONS A. Metabolic–toxic and hypoxic insults. Patients with seizures attributable to metabolic or toxic causes have generalized tonic–clonic seizures,…
Approach to the Comatose Patient
(2) Decerebrate posturing (upper and lower limb extension, uni- or bilateral) localizes the deficit to the midbrain (red nucleus). (3) If required, noxious stimuli include rubbing the sternum, or applying firm but…
The ABCs of Neurologic Emergencies
The ABCs of Neurologic Emergencies James D. Fleck José Biller This chapter is designed to be a very brief reference for common neurologic emergencies. In general, we presume an accurate…
Neurologic Diseases in Pregnancy
Neurologic Diseases in Pregnancy Kathleen B. Digre Michael W. Varner In the United States, there are 4,000,000 live births per year. It is thus common to see neurologic conditions occur…
Dizziness and Vertigo
Dizziness and Vertigo Matthew L. Kircher James A. Stankiewicz Sam J. Marzo When investigating the source of dizziness in a patient, it is useful to organize potential etiologies into four…
Sleep Disorders
Sleep Disorders Phyllis C. Zee Alon Y. Avidan Sleep disturbances are prevalent in the general population, but certain groups such as older adults, women, and patients with chronic comorbid medical,…
Neurotoxicology
Neurotoxicology Laura M. Tormoehlen Daniel E. Rusyniak Neurotoxins are compounds that are toxic, or potentially toxic, to the central and/or peripheral nervous system. Capable of mimicking neurologic disorders, neurotoxins can…
Nervous System Complications of Cancer
Nervous System Complications of Cancer Jack M. Rozental Jeffrey J. Raizer Neurologic complications of cancer can be metastatic, treatment related, or remote (paraneoplastic). They can cause neurologic disability or death,…
Primary Central Nervous System Tumors
Primary Central Nervous System Tumors Edward J. Dropcho More than 40,000 new cases of primary CNS tumors are diagnosed each year in the United States. Brain tumors are the second…
